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Rosmin Esmail, MSc, CHE Chair for CNESH Director, Health Technology Assessment and Adoption

The Canadian Top Ten Watch List of New and Emerging Health Technologies: Methods, Lessons Learned, and Impact. Rosmin Esmail, MSc, CHE Chair for CNESH Director, Health Technology Assessment and Adoption Research, Innovation and Analytics Portfolio Alberta Health Servcies

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Rosmin Esmail, MSc, CHE Chair for CNESH Director, Health Technology Assessment and Adoption

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  1. The Canadian Top Ten Watch List of New and Emerging Health Technologies: Methods, Lessons Learned, and Impact Rosmin Esmail, MSc, CHE Chair for CNESH Director, Health Technology Assessment and Adoption Research, Innovation and Analytics Portfolio Alberta Health Servcies CADTH symposium, April 13, 2015

  2. Canadian Network for Environmental Scanning in Health Started in May 2011. A Canadian collaborative network of organizations and individuals. Identifies and shares information on new and emerging health technologies to support health care decision making and the appropriate adoption and use of effective and safe health technologies.

  3. Mandate To identify information on new, emerging, or new applications of health technologies, and to share this information across Canada. To develop and promote methods for the identification, filtration and prioritization of new or emerging health technologies.

  4. CNESH Members Rosmin Esmail, Chair, Health Technology Assessment and Adoption, Research Innovation and Analytics Portfolio, Alberta Health Services Cédric Jehanno, Vice-Chair, Institute national d’excellence on santé et services sociaux (INESSS) Ron Goree, Past Chair Nelson Millar, Office of Pharmaceuticals Management Strategies, Health Canada Keith Keough, Healthcare Technology and Data Management, Eastern Health Region Janet Martin, Health Technology Assessment for the Evidence-based Perioperative Clinical Outcomes Research (EPiCOR-HiTEC) Gabriela Prada, Health Innovation, Policy and Evaluation, The Conference Board of Canada Dagmara Chojecki, Institute for Health Economics Mitch Levin, Programs for Assessment of Technology in Health Research Institute (PATH), McMaster University Elena Lungu, Patent Medicines Prices Review Board Nina Buscemi, Health Technologies and Services Policy, Alberta Health (Observer) Andra Morrison, Program Development Officer, CADTH Nina Frey, CADTH Secretariat

  5. What should CNESH focus on

  6. WHY A TOP 10 LIST? – WE HAVE OTHER EXAMPLES

  7. EXAMPLES OF OTHER TOP 10 LISTS IN HEALTH CARE

  8. Why not a Canadian top 10 list?

  9. What we did? Fall 2012-Network members agreed to develop an annual top 10 list of new and emerging health technologies for Canada. Technologies that would be potential “game changers”. List would be useful to support Canadian health care decision makers (patient, provider and policy maker) and HTA producers. Support effective planning and decision making for introduction of new and innovative health technologies in the Canadian Health Care system. Sought advice at CADTH 2013 workshop Developed a rigorous process to ensure we were following best practices in horizon scanning

  10. CADTH definition of Health Technology • Drugs, including but not limited to, biologics, blood products, vaccines, and prescription and non-prescription medicines.  • Medical, dental, and surgical devices and procedures. • Diagnostics, including but not limited to, laboratory tests, screening programs, and diagnostic imaging. • Does not include: • Health human resources • Health system design • Electronic health-related technologies

  11. New and Emerging Health Technologies • ‘New’ refers to health technology that has been approved for clinical use for only a short time and is generally in the launch or early post-marketing stage of diffusion.  Medical devices may be marketed but <10% diffused or localised to only a few centres.  • Drugs are considered if they have not received Health Canada approval at the prioritization phase of the CNESH top 10 process.  • ‘Emerging’ refers to a health technology that has not yet been approved by the regulator for use but has potential for significant impact on the health care system.  Pharmaceuticals will usually be in phase II or III clinical trials; medical devices will be within six to nine months of marketing.  • Emerging technologies could also include: • an existing health technology being investigated for a new indication, or • a health technology that is part of a group of developing technologies that, as a whole, may have an impact.

  12. Some good press…

  13. http://www.canadianhealthcarenetwork.ca/healthcaremanagers/discussions/blogs/technology-blog/want-to-know-where-healthcare-tech-is-heading-watch-the-cnesh-top-10-watch-list-25184/2http://www.canadianhealthcarenetwork.ca/healthcaremanagers/discussions/blogs/technology-blog/want-to-know-where-healthcare-tech-is-heading-watch-the-cnesh-top-10-watch-list-25184/2

  14. http://www.google.ca/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=2&cad=rja&uact=8&ved=0CCQQFjAB&url=http%3A%2F%2Feuroscan.org.uk%2Fmmlib%2Fincludes%2Fsendfile.php%3Fid%3D158&ei=kDUdVf2rJ9WwyATdxYCwAw&usg=AFQjCNHvN4NPZ59vp7MTwKactSCbwZlXwg&bvm=bv.89744112,d.aWwhttp://www.google.ca/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=2&cad=rja&uact=8&ved=0CCQQFjAB&url=http%3A%2F%2Feuroscan.org.uk%2Fmmlib%2Fincludes%2Fsendfile.php%3Fid%3D158&ei=kDUdVf2rJ9WwyATdxYCwAw&usg=AFQjCNHvN4NPZ59vp7MTwKactSCbwZlXwg&bvm=bv.89744112,d.aWw

  15. Top 10 Lessons Learned from 2014… 10. Finding time for network volunteer activities is very challenging 9. Getting agreement on process 8. Significant in-kind volunteer support 7. Convincing folks to nominate a technology 6. Start-up process is very time consuming

  16. Top 10 Lessons Learned from 2014… 5. Nominators exaggerate benefits/minimize harms 4. Significant staff resources are required 3. Very hard to screen out technologies 2. Expert involvement 1. With dedication and commitment it can be done!

  17. New and Improved Process

  18. Panel Presenter Andra Morrison Program Development Officer (Medical Devices) CADTH

  19. Top 10 New and Emerging Health Technologies Watch List 2015

  20. Panel Presenter Cédric Jehanno Vice-chair of CNESH INESSS

  21. Top 3 Lessons Learned from 2015… Timing of the call for nominations and number of nominations we received

  22. http://www.newswire.ca/en/story/1418412/cnesh-call-for-nominations-for-2015-health-technology-watch-listhttp://www.newswire.ca/en/story/1418412/cnesh-call-for-nominations-for-2015-health-technology-watch-list

  23. Top 3 Lessons Learned from 2015… How can we increase the profile of CNESH and the top 10 list?

  24. Top 3 Lessons Learned from 2015… What is the value add and impact of the list?

  25. Panel Presenters John Soloninka, HTX Alison Drinkwater, Baxter Corporation Alain Boisvert, Bristol Myers Squibb

  26. Top 10 Next Steps… 10. Approval of 3 year business plan 9. Feedback from nominators 8.Refinement of process and criteria 7. Involve collaborators in CNESH 6. Evaluation plan

  27. Top 10 Next Steps… 5. Feedback from users 4. Publish our work 3. Monitor status of top 10 watch list 2. Develop 2016 top 10 list… 1. Take another (short) break!

  28. ASK A QUESTION… GET a T-shirt https://www.cadth.ca/about-environmental-scanning/cnesh

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